Assassination Records Review Board
Final Determination Notification

_ AGENCY : HSCA
RECORD NUMBER : 180-10147-10261
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :

December 8, 1995
Status of Document: Postponed in Part

' Number of releases of previously postponed information: 8
Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual. |

Number of Postponements: 6

Postponements: All the postponements in this document represent Social Security numbers.

Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

N

ennedy dssassination
ecards Collection Act of

992 [44 USC 2107 Note).
aset- A 88326 Date:

NW 838326
| Decld:32279342 Page 1

Date : 07/08/95
Page : 1

JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM

AGENCY . INFORMATION

AGENCY : HSCA
RECORD NUMBER : 180-10147-10261
RECORDS SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :

- DOCUMENT INFORMATION

ORIGINATOR : HSCA

PROM :
TO 3;
TITLE :
DATE : 12/28/76
PAGES : 8
SUBJECTS : STRICKLAND, ANN L.

DOCUMENT TYPE PRINTED FORM

CLASSIFICATION : UNCLASSIFIED
RESTRICTIONS : 3 :
CURRENT STATUS : RELEASED WITH DELETIONS
DATE OF LAST REVIEW : 10/26/95
OPENING CRITERIA :
COMMENTS : Box 3

[R] - ITEM IS RESTRICTED
NW 08326
Dochd:37277342 Page 2

ES

FORWARD FROM:

gas sCSsSéRPERSSONAL LEAVE RECORD. Cs ING YE

Raeaeneeae seman Snneeste tint shen.

: L97AS
Adress ; ; 4 a ce ot YEAR ; a

— ANNUAL LEAVE - es oe, fob :

Phone Number CATEGORY . . oy a, 4 .

: . 10... oO mt .

Position Title So O _

peqneene | went ements eae eeeenenmannas cee ener aera : cence meme | orrTy PPTrreT Terry y TT 29.0 - 0 ACCRUED AVAILASLE USED ; PHANSC ws
Position Number bevel eR eats Moaths . . |} THIS MONTH THIS MONTH © |. THIS MONTH | OP sagen 4
. ; ; : —| 83
Annual Sick Annual Sick Araual J Sick ze

Leave Leave Leave Leave

31/3

leave | _ heave

30.5 day annual leave os oo. - SO ae oe : , CERTIFIED CORRECT:

! tz 1,0 day annual leave _ . : oo - .

; oz 0,5 day sick leave 7 aoa oo ; a
| 1.0 day sick leave . , - Employee's Signature. Date : 7 . chiat's Signature _ i Date

. . (H employee refuses to sign, state reason below.)
2 0.5 day administrative leave ue

1,0 day administrative Icave re oo oe re ‘Approved: : — ee
. a Bo : oe ; . Glare of the Houso.. : ‘Bate
“0.5 day unauthorized ab
0-5 doy unauthorized absence This record will be forwarded to the Clerk of the House at the end of cach cafendar year, or in case of termination, along

1.0 day unauthorized absence , - with the request for. termination. Upon approval t the record will be filed in the ¢ omployce's official personnel folder, :
= 0.5 day leave without pay . ,

es 10 day leave without pay

EARS MEP Co RNA EFI CE A A PI EE EE IRD RE WIEST ANTES PIN

Id:32277342 Page 3

| “STRICKLAND, Ann oe OFFICE OF THE CLERK er
| ime ol reagiyee i US, HOUSE OF REPRESENTATIVES DALANGS nnougut


PAYROLL AUTHORIZATION ‘FORM

(Please Use Typewriter. - 10 US. HOUSE OF REPRESENTATIVES) (Any erasures, corrections, or changes

3 aa on this form must be initialed by the.
or Ballpoint Pen) >: _ . Washington, D.C. 20515 authorizing official.)

he TN cee pte

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Employee Name (First-Middie-Last) _Effective Date

Aan Lyon Strickland June 19, 1978

- Employee Social Security Number Type of Action —

ye a, rs vat cee etic IN ‘.
CSM eRe ee Gok

O Appointment

227-795-3525 O Salary Adjustment
Termination (At close of business on effective date)
sass inations CO Leave without pay (Beginning with effective date above and ending

close of business )

Specify Date

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title . a Gross Annual Salary*

’ * If employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office. _

(If Committee Employee, complete appropriate item below.)

1. O Standing Committee: Staff—O] Clerical or 0) Professional.

Ledinde siete d OH esata Little Lae delat ee abi ale” Reel Mee Pt Ne ME a

@
2. Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res.= $56 of Det “Congress.
| 3. O Joint Committee.

Ards

! (If Employee of an Officer of the House, complete item below.)

eae
«

Position Number If applicable, Level

oo Step___

| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment -of

Dia daray  t Me  e ae el  tb d

relatives.
| Dote.__dune 2) (1978 ee.
7? : (Signature of Authorizing Official) 4
| ween ene ALQUIS STORES, CHALAMAR 7
(if appropriate, signature of Subcommittee Chairman or-Ranking Minority Member) , - (Type or print name of Authorizing Official) 4
3

(Type or print name and title of above official) : {Title-1f Member, District and State)

ae Poe

‘All appointments and. salary adjustments for employees: under. the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.

wade abe davai Aa de Maan ne ce
——

\
. APPROVED:.__-.. _
\ ; ; : Chairman, Committee on House Administration
{ , 3
| Office of Finance use only: :
4
) Office Code <
[
‘ i
| j j (Revised: August 1, 1977) 4
_ Copy for Initiating Office or Committee: 9° 8-8 er a a
i] . |
‘ weer ee _ . woe ele tee eee ee ee nem ee — oo wee et —— ee te

| NW 88326 FO mo
Id:32277342 Page 4 ; 7

PAYROLL AUTHORIZATION FORM

_ {Please Use Typewriter: - U. S. HOUSE OF REPRESENTATIVES _.~ (Any erasures, corrections, or changes . >.
~ Washington,-D.C. 20515 - . on this form must. be initialed by the =

or Ballpoint Pen) authorizing official.)

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

“Employee Name (First-Middle-Last)-  - ++=~+(|.. + + + ~~ Effective Date

Aan Lyon Strickland | Becetbar 1, i977
Employee Social Security Number
O) Appointment
27 oe fGe BS na
ae a % 3825 _ _. Salary. Adjustment -
Employing Office or Committee/Subcommittee === =. - | C. Title Change
. a ( Termination (At close of business on effective date)
. ASSASS nations C] Leave without pay (Beginning with effective date above and ending

close of business
Specify Date

{If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

. : 7 Position Title . . Gross Annual Salary*

Secretary $15 006

* If employee is a'civil service annuitant (includes U.S: House ‘of Representatives), the ‘gross ‘annual salary shown ‘should include the annuity received by the employee

plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

; a Stondin Committee: Staff—O Clerical or (J Professional.

3. O Joint Committee.

(If Employee of an Officer of the House, complete item below.)

“Position Number__.. If applicable, Level Step__...-_.

relatives.

" (Type or print name of Authorizing Official

. Sai yan

oe re re a oe + ee ee ee ee ee _~

* (Type or print name and title of above official) en (Title ~ If Member, District and State)

All appointments and salary adjustments:for employees under the House Classification Act and for Committee: em-
ployees, except those: of the Committee on’ Appropriations, the Committee on the: Budget, andthe Joint Committees, must

' be approved by the Committee on House Administration.

os

APPROVED:

Chairman, Committee on House Administration

Office of Finance use only:

Office Code

Copy for Initiating Office or Committee

88326 : PO re a a a

ld:32277342 Page 5

qo a Type of Action oe t. .

| certify. that this authorization is not in violation of 5 U.S.C. 30), ‘prohibiting the employment of —

wk alec eee

Ag eden ary CMLL nada i oe

PA antinnta st eke onal ad

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PAYROLL AUTHORIZATION. FORM
(Please Use Typewriter _
or Ballpoint Pen)

‘U.S. HOUSE OF REPRESENTATIVES

. (Any erasures, corrections, or changes ~—
on this form must be initialed by the -

Washington, D.C.-20515

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Employee Name {First-Middle-Last) -

Ann Lyon Strickland _
Employee Social Security Number

227 76 3825

Employing Office or Committee

- Assassinations

Salary Adjustment

5/1/77

LJ Appointment

authorizing official.)

| Effective Date

Type of Action

(} Termination (At close of business on effective date) -

(If type of action is an Appointment or Salary Adjustment, complete the following information.)

Position Title |

_ "Gross Annual Salary

(If Committee Employee, complete appropriate item below.)

14 Standing Committee: Staff—[_] Clerical or [] Professional.

2. Special or Select Committee: Authcrity—H. Res. $65 of § 25th

3. [_] Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number

_.|f applicable, Level_

$14,000

Congress.

<All appointments and salaryadjustments for:employee's: under :the ‘House Classification ‘Act.and for Committeé’ em-
: | ployees: except those ‘of the Committee: on Appropriations, | the Committee on ‘the ‘Budgetsand - the Joint Committees, “must

. be approved. by.the Committee on House Administration. .

Office of Finance. use. only:

Office Code.:

W 88326
Docld:32277342 Page 6

APPROVED:

(Signature of Authorizing Official)

“Louis Stokes

(Type or print name of Authorizing Official) :

Chairman

Chairman, Committee « on House Administration

initiating Office or Committee |

vhncpd sa dlat ibe Easel ca i tut

eae RS Sk yy Ene Bee ge put coe a a et nee ge
SIO ged POPE SMSO CRIES SEER ECRCL EOE IL TLE RECT AERE TEAUT ETON PONT TSE

a


_ PAYROLL AUTHORIZATION. FORM

soy ON this form must. be- initialed by the.
Washington, D.C. 20515 : ~~ authorizing official.)

~ or Ballpoint Pen)
To-the Clerk of the House of.Representatives:

| hereby authorize the following payroll action: :

. _- Employee Name (First- -Middle- -Last). : ee Effective Date cee
Aan yon Strickland 4/1/77

_ Employee Social Security Number von

227 76 3525

Type of Action

C1] Appointment

Employing Office or Committee - [kSalary Adjustment —

Assassinations (_] Termination (At close of business on effective date)

(If type of action is an Appointment or Salary Adjustment; complete the following information;)

$26, 090

_ (If Committee Employee, complete appropriate item below.) >.»

1. oO Standing Committee: Staff—{_] Clerical or [_] Professional.

2. Special or Select Committee: Authority=H. Res.. 465 of 95th Congress.
3. (_] Joint Committee.

- (If-Employee of an.Officer of the House, complete item below.) «> «©:

. Position Number______ sf applicable, Level_ Stepi ie

relatives.

meso oe re ES ee ees See

we ; e i (Signature of Authorizing. ‘Official

euis Stokes

a (Type or print name of Authorizing Official) wo

Chairman

(Title-If Member, District and, State}

ro fo» All_appointments:and salary adjustments for employees under the. House Classification Act ands “for Committee-em-~

- be approved by.the Committee.on House: Administrations» °.. .3.-° 03
re APPROVED:.____. ee _

- Chairman, Committee on House Administration’... ome

Office of Finance-use.only: 3-050 - =>

Office Code

eae ee ne - oe — ae eee a - — -—— cone ee an

| Nw 88326 a —
| Deckd:32277342 Page 7 : / ;

“(Please Use: Typewriter -.>. OU. S. HOUSE. ‘OF. REPRESENTATIVES 7 (Any erasures, corrections, or changes.” ~

Position Title Ce Gross Annual Salary | |

1 certify that this: authorization. :is- notin. violation of 5. U:S.C. 3110(6), ‘Prohibiting - the employment To) ra

splyees, except. those of. the Committee.on Appropriations; the Committee. on: the _Budget,:and the Joint-Committees; must=.* +?

Her ieee to tka te ds Ce ee a
Oita ela sO eas haa, Aas athe allay Loteayal tld Das

a cept ect i Ub gta gt feat ak oe te i a ha i ae ea ge ci keh te ky at ad
wakes ET be a Ga ae EF Rr See Maisie cole A Bae a Oa, emt hie tedetst eyed diane lt Sale” Sak eG La winch edn RANE ds UE Oa abe ee Le ee Nae a eet lal


Faeoege

GPO : 1975 O - 57-255
Seri

| PAYROLL AUTHORIZATION FORM
| ~- ’ (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes ..

. : on this form must be initialed by the
_or Ballpoint Pen) Washington, D.C. 20515 authorizing official.)

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action: - |
i
; Employee Name (First-Middle-Last) Effective Date : 1
Ann Lyon Strickland | 3/77 :
"Employee Social Security Number Type of Action 1 |
« . Appointment 4
: 227 76 3525 D Appoinimen
oo Employing Office or Committee yP Salary Adiustment :
fo . . : ~ (J Termination {At close of business on effective date) j
Select Committee on Assassinations

(If type'of action is an Appointmentor Salary Adjustment, complete the following information.)

; Position Title Gross Annual Salary

$190 ,000.

(If Committee Employee, complete appropriate item below.) |
Lo Standing Committee: Staff—[_] Clerical or (_] Professional.
2.) Special or Select Committee: Authority—H. Res._}}_____of 95 ___ Congress.

| 3.0 Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number... If applicable, Level. Step

| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
‘relatives. , .

Date___---- ee, OFT

{Signature of Authorizing Official)

_Henry. 8. Gonzalez

(Type or print name of Authorizing Official)

— Chaimman____- :

(Title~If Member, District and State). ee

All appointments and salary adjustments for employees under the House Classification Act and for Committee em-

ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.

APPROVED:

Chairman, Committee on House Administration

Office of Finance use only:

. Office Code

“Monthly Annuity $ __ |

Fnw g8326 | — bee
 Decid-32277342 Page 8 orn ous . Copy for Initiating Office or Committee Pe ad


° oo ee an a, oe \ |
PAYROLL AUTHORIZATION FORM, en . a

oo — FT
:-(Please Use Typewriter - uv U. S. HOUSE: OF REPRESENTATIVES \_ ; (Any erasures, corrections,:or changes-~-
fone. os ‘or Ballpoint Pen) 0 2207 2 ~ Washington; D.C.20515.. . 70” this form must be. initialed by'the

wee
\

. - ‘authorizing: official.)

| ‘To the Clerk of the House of Representatives: 7 — oe oy
- _ /
| hereby authorize the following payroll action: ~ <

Employee Name (First-Middle-Last) - - Effective Date . | !
2 : . ' \

ann Lyon Strickiaad ; ‘ Peceuber £8, 1975
Employee Social Security Number re Type of Action

u fed. Appointment

- + Employing Office or Committee | ; C] Salary Adjustment ; . | Oe 7 foo | |

LJ Termination (At. ‘close of business on effective date)
4

*- (If Committee Employee, complete appropriate item below.) » ,
< 1.L] Standing Committee: Staff—[_] Clerical or] Professional. < 7
. : \
: . . “. Rac \
~ 2. [A] Special or Select Committee: Authority —H. Res L340 ___of BAED Congress. a . \
3. [| Joint Committee. oO - , . ow
; f 7 i? ; .
‘> (If Employee of an Officer of the House, complete item below.) —
Position ‘Number_ sf applicable, Level_______..Step_______. |
a . ; i
lecertify that this: authorization: is not in. violation of 5° U.S.C. 31.10(b), prohibiting: the.employmént of :
relatives. \ |
. ~ I
Date ECS aber 23.7 1975 ; ; _ |
, ar ( Signature of Authorizin Official) oo ST 4
v , gnat g ) ;
Se iwomss So Uowntng, Chatman 0 |
{Type or print name of Authorizing Official) |
‘ Cefn» 7 wt . 7
__selsct Committee oa Assassinations |
. (Title—If Member, District and State) i
ee a a I See eae ee ee ‘
weg on. All appointments and.salary. adjustments for employee's under:the:House. Classification Act.and-for Committee-em- # *~ &

wee ~ployees, except those of. the Committee on Appropriations, the Committee “on the- Budget, and the Joint Committees; must ~*"
} be approved by the Committee on House Administration. | :

NO oo APPROVED: ' |
|
— |
| Office of Finance use only: _
Office Code._ . | a . |
. : . : |
_ |
| i
aes - ©. . Copy for Initiating Office or Committee... |
. 77 y i
hw 68326 FO a —

|| Docld:32277342 Page 9 : ae:

: MEMORANDUM
TO: All Staff Employees
FROM: Budget Officer
-DATE: January 3, 1977
RE: | Payroll Certification
Starting with the January, 1977 payroll, the , certification _
-to the House Finance Office requires, among other things, the
“relationship, if any, of each staff employee to any current
. Member of ‘Congress (those taking office ‘January 3, 1977).
‘The following are the relationships to be included in
“the certification: mo . 7 i a
_ 7 father nephew So brother-in Jaw ae 7
“ mother — : — "niece _ ©). sister-in-law 90 fb .
son oe - husband stepfather Cs
. daughter wife stepmother | .
“". brother _ © father-in-law stepbrothers -
“sister ee mother-in-law _ __ stepsister woot hs
uncle = © son-in-law). ss half-brother {.
: aunt. ~  daughter-inlaw half-sister i
: first cousin oo mo a _ | .
: All staff employees are requested to complete this |
» form and return it to the Budget officer. . .
- Approved .
Richard A. Sprague
ari am not related

a TO a
| boctd:32277342 Page 10 : oe ;


